| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $419.01 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $2,723.43 | $8,355.23 | $13,396.33 | |
Providence
| Facility | $418.99 | $715.82 | $754.83 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |